Organization
CLAIBORNE MANOR NURSING HOME, LLC
Active
Other names
Claiborne Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE HOWARD (COO/CFO)
(318) 445-6470
Entity
Organization
Contact information
Practice address
6942 HIGHWAY 79 NORTH, HOMER, LA 71040
(318) 927-3586
(318) 927-4656
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 445-6470
(318) 641-6282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
928
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516236
—
LA
Enumeration date
05/17/2006
Last updated
04/22/2013
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